Mitchell, Karline Wilson

Mitchell, Karline Wilson is an individual health care provider with primary practice located at 2675 N Decatur Rd Ste 512, Decatur GA 30033-6131. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mitchell, Karline Wilson can be contacted via phone (404) 508-2000.

Contact Information

Primary practice address
2675 N Decatur Rd Ste 512 Decatur GA 30033-6131
Phone: (404) 508-2000
Fax: (404) 508-5560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN168891 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP1967452 Florida

Profile Details

NPI number 1831184027
LBN Legal business name Mitchell, Karline Wilson
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jan 3rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831184027 NPPES
Georgia MEDICAID 611377940AB
Georgia Other GRP632

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